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Home My WebLink About26299-z FORM No. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-27077 Date: 05/11/00 THIS CERTIFIES that the building ADDITION Location of Property: 75 WATER TERRACE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 6 Lot 13.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 11, 2000 pursuant to which Building Permit No. 26299-Z dated JANUARY 26, 2000 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is REAR DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT & CAROL PIECHNIK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized gnature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26299 Z Date JANUARY 26, 2000 Permission is hereby granted to: R & C PIECHNIK 75 WATER TERRACE SOUTHOLD NY 11971 for CONSTRUCTION OF A DECK ADDITION ON THE REAR OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 75 WATER TERRACE SOUTHOLD County Tax Map No. 473889 Section 088 Block 0006 Lot No. 013 . 003 pursuant to application dated JANUARY 11, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Sign ure ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ' TOWN HALL i ; 765-1802 a APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-aisposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 11. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin£ - $100.00 3. Copy of Certificate of Occupancy - .25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . :�. 7..900,0. . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . .?:'5.. . . . . ..W�T�p . TE22f�C� . . . . . SOd76/v c0. . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.�a BE2T v� . 42o C . . .e'�Ajr, hHn/( County Tax Map No y71OOO, Section. . R$ . . . . . . . .Block. . . .. . . . . . . . . . .Lot. .�. 3 . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No., . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ( ] 1 SULATION [ ] FRAMING 4,,V,,.,,,(FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATEA� INSPEC 70 o��gUFFO(kco ti� oy Town Hall,53095 Main Road o Fax(516)765-1823 P.O.Box 1179 COD %,I- Southold, Telephone(516)765-1802 Southold,New York 11971-0959 O poi * goo BUILDING DEPARTMENT TOWN OF SOUTHOLD May 5, 2000 R & C Piechnik 75 Water Terrace Southold, NY 11971 Re: SCTM# 88 .-6-13. 3 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : X An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. X The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26299Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU LBG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 0xv G� 1p zt- ; 76� DATE �� INSPECTOR I�AILD\*'INSPECTION_RRPORT_ DAT -- -- -------- COMMENTS_--____ _ II FOUNDATION OST) a 1111 v FOUNDATION <2ND) n n C , — -- ----- ------------------------------------- ----------------- II p ill"_ ROUGH FRAME & n------ii PLUMBING II JI I' it H INSULATION PER N. Y. STATE ENERGY CODE u it — I II U H II FINAL ADDITIONAL COMMENTS: e=a=es=aeeeeescc=escc==ec==sce � ec==ee =c— _= c=—c=—=c===se====sees====eeev 7y tw� v /h — ' J H z b H M-1802 BUILDING DEPT. INSPECTION [,,r-'FOUNDATION IST [ ] ROUGH PLBG. FO NDATION 2ND INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �� ao INSPECTOR 3 w I - 1 -71 -- - - - —WFi t ztA 2 t ccP X � Ca,2�ziz IT M;OE 1 I X - — —: -- --- — - - - - - pN oa APP AS g — — -- - - _-- BUILDING DE -- - _ 765-1802 9 AM TO T AT FOLl04y1NGfNSP 4 PM_FOR_THE FOUNDATIONIONS: I -- —v� i�z `'�.&��s�4rL� . t ECT i .� TWO - I I I -REQUIRED — —-- - - --- ROUG CONCRETEiRED RAMING & - -= --_!-- -- - --- -- - - - - INSULATION- PLUMBING - r ____=UPAN Y_®R - 4 FINAL - CONSTRUCTION .MUS7 - — l BE COMPLETE FOR C.O, —t�SEt t�NLAWFUI _- ALL CONSTRUCTION SiiALt- - - - -= -- -- 1 LIELQUT_CE,RTIFtCATE -- THE REQUIREMEt1TS, OF_TH-EET- - — j - STATE CON STRUC71+r;� g ENERGY -,`- -------QE QCGIPRNCY CODES. — —I — - - - NOT RESPONSIBLt DESIGN OR C FOR tr,t( t ----- —— --- -- - ONSTRJCT[OtLERR2RS - 1 I -- r I f Lt��i., �� I { _ I S 1 F PAIL i� `!.. CC7P MOST ` 5'116 yv, (�gL� -kL SLC-Kt I I { I I I ; 1 I I 1 - —NT AT - NOTIFY BUILDING 'D j 765 1802 9 AM i fO" TMQ _ per'T1ANS: 1. FOUNDATIOFe N TWO REQUIRED i - III P S 1 1;I 2,elEfaAP- A. FOR InenUpG�aUR.EFDRCA0AIA�iCNRGET&E P LUMRTG _ a INSULATION -- - — -- — — ----,LlZNA;I=C@NSiR�lGT-40th-AL -aL— 1 OC MPLETE FOR C.O. cel ; ALL CON STRUCTION ALL Ma _ a e Y i r:aERGY. _ _. — �.� STATE CC�N3TRUCTiON & ' ! UC coops. rOT � ATErnNStgyCTiON c:i�03S j ' I �`�ru✓� � I -OF occu THE.LOCATION OF WELISI WATER SERVICE LINES, TANK$ D CESSPOOL-; SHOWNSH HEREON ARE FIIELD 06S RVA• r TIONS AND OR DATA OBTAINED FROM OTHERS. U L ti)� l 74 5V 4l.S M 4Hrnn '�lthvnb. n o � I •V.`n )� O O / bGvnL !��)/ 18.5 LQw: �1.•!' �) I I'1 I il I � 1 1 C i . IO (/moV `ter 2 g �t 21 w•azmor'za:enarelwn or addnron to to s da:0ne0a.a a vioawn a Sec:wn v2C'o SURVEY OF: � , of the Now York$tela Edbaali'M Law. n Gehjh0a0Wa indi<dle0 h8r<W Shall rUn Only Po Jr.,l Aceati tar when it is prvp<rv0 /1and do his Donau to the Tire Coca^y.Ower.rcrenlal ASenq and Lendv-' I{},ry,.''�Ir3410n01 IWO hereon,and IO Ing ar Sveeg 00..IP.M�hj Y'Ai / �. ,r. ,e� - 1d.Cv.cs olf' 3aYV `rj,/ � fwitelCOp•asaieha OOabn:anl.+Oloeanng the Gr0loigl:fa"inked goal Or69100gsod " �,a��aaL Toll till;OP OOne•Oe'atl a,ald Yvi GQZ ' j V LN"z 'The oegela!Or Lr,enoi0ng)snOwn RreM!'Om il',cwmir to We pm:atiY linea art'0r a I AGIIC pdrproa and y38 and Ih91a'04 are notin;erdad t0 gwde 1ha in"6on aU (!onOa1.rotaininu w8I!g.p&&3.DatiGg.planting areas.addilF 10 oL Kings oranyover oansl'Atan.T,e.dsunu o1 tight o1 ways and0r eue'*an'a a•eccro,n any,na rown areY GATE: St' Q 1"fI SCALE.`� IqN G GRAF N.Y.S. ry DLESTI a0E DES'7.''IN C . GR A FCERTFEC)ONLYTO' .- _ lk LAND SURVEYOR 3 \60Gt,,%WN ACA:.y LIC lo, SCO ;;CCK =0 NT.I,E'n'YORK 11773� nr BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS' . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT, CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY:r� ®1` " CALL Examined... 'l �., 20.... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.... Permit No. 1??. Disapproveda/c .................................. ................................... (n [ (Building Inspect r f - ;. ICATION FOR BUILDING PERMIT nod `` JAN I 2' Date. . �C. . . . . . . .. . 20�. E INSTRUCTIONS a. Thr application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wil 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The eaork covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be,kept on the premises available for inspection thrangbout the work. e. No building shall be occupied or used in whole or in part for arty purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICMUN IS HEREBY MAIL to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors rsn premises and in building for qpcc.Mry inspections. ............ ........................................ (Signet of applicant, or name, if a corporation) 9. 2 2. ��i d� Al .... ........................... (Mailing address of applicant) State whether applicant ii r, lessee, agent, architect, engineer, general contractor, electrician plumber or builder L �G�✓ I , ...... /.!..................�....................................................f............. �.(... .......... • •• Name of owner of premises _ !/P C id/ � G•7 h�%1� (t.. ... eL A� 010-T e 7 :..............................DAA; •gpI . (as on the tax roll or latest deed) If cant is a corporat , signature of duly authorized officer. E NOTIFY BUILDING DE A 765.1802 9 AM TO 4 PM FOR THII ................................................ FOLLOWING INSPECTIONS: ( and title of corporate officer) 1. FOUNDATION • TWO RIKOVIN90 OCCUPANCY OR FOR POURED CONCRETE /9 Builders License No. � USE IS UNLAWFUL 2 OU H - FRAMING # PLUMBING Plumbers License t�. ......................WITHOUT CERTIFICAT FINAL - CONSTRUCTION MUST OF OCCUPANCY BE COMPLETE FOR C.O. ALL CONSTRUC ION SHALL MEET Electricians License No. THE REQUIREMENTS OF THE N.Y. Other Trade's License No. .................... STATE CONSTRUCTION S ENERGY 1. Location of land on which proposed work will be done...? ..• •'.. 0RE,A...t4QT..RESPONSIBLE..FOR........ DESIGN 0 CON$TRI�CT�ON ERRORS �JG?%4� (. ... . GG��idd `.�s ................ ................................ House Amber Street Hamlet County Tax Map No. 1000 Section Section . .... ......... Block .. ......... Lot ... .l .... 3 ,3 Subdivision .. y` Naooe) £s: Filed Map No. .. �:.... lot ...... ........ 2. State existing use and occupancy f prem and intended use and +44 T roles construction: a. Existing use and occupancy`5 . . ... 9r,. 4 18 ii5. ................ p J. � 519, s:'.tpslA41k8"# b. Intended use and occupancy ............�G(.�EIC (m............:............................. • I >, ti 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ......... Repair ............ Removal ..j.......... Demolition ............ Other Work ..-b4C' ..... K{> (!).(?......... _) . Estimated Cost (DescripCiori) fee .............................................. (to be paid on filing this application) i 5. If dwelling, number of dwelling units ..... ....., tlwber of dwelling units on each floor ................ ifgarage, number of cars ....:................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. HeightNmb Number of Stories ...................... Dimensions of sae structure w t*h alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Ncniher of Stories ............... / Height ...... 2 I ..ruction: Front .....`2 � .... Rear ............... Depth /.�r.h..... Dimensions of enC re new consC Numiher of Stories ...... gl .... ... ....� . 9. Size of lot: Front �...... Rear .....��%......... Depth y`:`............. 10. Date of Purchase ..............,....... Nam of Former Owner ........................................ It. Zone or 12. Does Arouse district iniono uchPremises are situated .................................. ........................... to any zoning law, ordinance or regulation: .... ................ 13. Will lot be regraded ......... Will excess fill be removed from premises: YES 4X�> 14. Names of owner ofses �P.>✓�f':v�l :......... Address ve Naof Architect �nl........'' ........�'h ....... Address .............................. Phone No. .............. Name of Contractor .�I. /.C If�. 7.f1/........... Address96e -X.c6!:i:�!"l�ru�.'.-x-47:......11mone No. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ...tom.... *IF YES, MMULD TM 1RI151FldS PL- 17 MAY RE REQUIRED. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or, proposed, and indicate all set-back dimensions from property lines. Give street andlblock ember or description according to deed, and show street nares and indicate whether interior or corner lot. II MNM�wYMw[M✓MaWMwW�y4ynyAyhMmwin.xw wiwJ...w IIS•' •+',� 6Wxn w'.i Y�,� I� ••� SPAU, Ol w '. l 41i, .h COIINIY 13 t"$�7 � ii (Name of individual. signing contract) r `� 1"m•:q.sS...:..:.i.......:.......being duly sworn, deposes and says that he is the applicant above n; Ile is t1W.L.T'q.«p,kf%'0 wx,v rtfl' f6dw'nlsPAcU)''r `afi'HE co;rpoiaLe officer, etc.) of: said iowt>�r{p� ,yrrpgl and is duly;soLhorized to perform or have performed the said work and to make and file this application�l �a ,4cj.�� gtaC lCp,g nhkaifnekl ;in this application are true to the best of his knowledge and belief.; and that the work will be performl in the manner set forth in the application filed therewith. Sworn Co ll e me this ..... /. ....da of Notary Public 4s ``..:...... ...... .. . Ur................... ... EJZA8M A�STATHI$ gnat a 'a ppli.cant) NOTARYPU8L1 St�teofNewYt►A MOISTWMI 3, UffolkGpUl1y Tam yrlcptresJU008,20.QA �lJ J ��Jl L \ V J� �r` - �� 1r�1 Applicant/ Date Owners Name: t r -_ Reviewed: Architect/ Date dC� Engineer: - __._. Submitted: SCTM #: District: 1,000 SectionSt Block: w Lot))• 3 Project ! , . e� �., • Subdivision Location: �S waWlG�ge,i_ Name:__— — --- Single&separate Requ certification: Yes No — lvl� f �S r M Req. `,fp Zoning District (Lot size Ac (l,ot coverage Proposed ) Req !f IV Req 'ene— R� r (Front Yard Proposed: 1 [Side Yard Proposed: ) (Rear Yard �O Proposed Project Description: 9ep-4(" Q2&a- e" AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: to •